Lazy Maple Equine Rescue & Rehabilitation Center, nfp 2622 Kane Rd. Leland, IL  60531   APPLICATION FOR ADOPTION OF RESCUED/REHABILITATED HORSE                 LAZY MAPLE EQUINE RESCUE AND REHABILITATION CENTER, NFP, located in Leland, Illinois, will review and verify all information contained in this application.  Once all information has been verified and an inspection completed, a decision will be made within fourteen (14) days as to whether this Application for Adoption is approved.  No fees are required at this time.    APPLICANT INFORMATION   Name of Applicant:       _____________________________________________________ Address:                       _____________________________________________________                                     _____________________________________________________   Phone:                          _____________________________________________________   Will you be the Primary Caregiver?                               Yes                  No   If not, who will be?       _____________________________________________________ Is this person a Minor? Yes                  No                   Age:  __________________   Caretaker’s level and length of experience (if other than yourself):  _____________________________________________________     ENVIRONMENT   Will the horse reside on your property?                         Yes                  No   If yes, companion animals?        _______________________________________________   How long owned?                    _______________________________________________   If boarding, name of Barn:         _______________________________________________ Address:                                   _______________________________________________                                                 _______________________________________________   Contact/Manager:                     _______________________________________________ Phone:                                      _______________________________________________   Describe the shelter provided:   _______________________________________________   Size of stall (if applicable):                     _________________________________________   Size of turnout area:                              _________________________________________   Amount of turnout time/day:                  _________________________________________   Type of fencing:                                    _________________________________________   Hay type and quantity provided:            _________________________________________   Grain type and quantity provided:          _________________________________________   Free access to water?                                                   Yes                  No     EXPERIENCE   What experience do you have in caring for a horse?  (Attach additional sheet if necessary)   _____________________________________________________________________________   _____________________________________________________________________________   How long have you been riding?            ______________________________________________   Discipline preference?               ____________________________________________________   Amount of time riding per week?           ______________________________________________   Are you interested/capable of caring for a “special-needs” horse?                      Yes      No   We would greatly appreciate pictures of your farm, shelter, and turn out area. Please also send pictures of your other animals as well. In order to ensure a good home for the horse, please remember we will visit your place before the adoption.  If you wish to add anything additional, please do so on the reverse side.    You may call the office at (815) 495-4081 to check on the status of your application.  Thank You!!